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Indiana rates for HCPCS 76642

Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited

Facilitymedian $355 · 10th–90th $65$5890%10%10th90th$355Professionalmedian $74 · 10th–90th $32$2450%5%10%10th90th$74$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $398.11 / $602.56
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.20 / $38.90 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $93.33 / $302.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $57.54 / $114.82
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$54.95 / $144.54 / $616.60
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $58.88 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $77.62 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $32.36 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$93.33 / $97.72 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $70.79 / $95.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $234.42 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $83.18 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $33.11 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$114.82 / $123.03 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $50.12 / $81.28
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $58.88 / $104.71
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $53.70 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $346.74 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $107.15 / $173.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $41.69 / $64.57
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $64.57 / $107.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $74.13 / $114.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $93.33 / $158.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $37.15 / $69.18
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $54.95 / $95.50